Do I need to go off my PPI before NF/LINX surgery?

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Gastricman
Regular Member


Date Joined Jan 2013
Total Posts : 294
   Posted 1/29/2013 9:02 AM (GMT -6)   
Hi all,
 
I was just wondering if I will need to go off my PPI (Dexliant) prior to a NF or LINX procedure?
I'm quite sure that I will have Gastric Rebound, if I do or is it not necessary until after surgery.
 
If after surgery can the Gastric Rebound break through the NF or LINX?
 
Opinions?
 
Gastricman smilewinkgrin

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 2/1/2013 11:02 AM (GMT -6)   
Hi Gastricman,
Nobody is going to take you off your meds for the surgery.  The rebound issue is one of the reasons that some surgeons protect the healing wrap by keeping their patients on PPIs during the early weeks/months of recovery.
 
I had a 24hr PH monitor about two years post-op.  It was obvious right away what a difference the surgery made.  I had none of the rebound pain I'd had when doing the test sans PPIs before my surgery. 
 
Take care,
Denise
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”
Eckhart Tolle

Gastricman
Regular Member


Date Joined Jan 2013
Total Posts : 294
   Posted 2/1/2013 11:10 AM (GMT -6)   
Hi Denise,

Is Carafate sometimes prescribed with PPI's for GERD or to they interfere with one another?

Since my 60Mg max dose of Dexilant is losing it's effectiveness (or the relfux is worsening) I have supplemented by using a Zantac 150 Mg before bed with limited success. It actually makes me a little jittery.

Before I call my GI doc, I figured that I should pick your brain a bit. ;)

Thanks,

Gastricman

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 2/1/2013 11:44 AM (GMT -6)   
Hi Gastricman,
Carafate suspension works great and doesn't interfere specifically with PPIs.  It coats the esophagus and stomach and the coating lasts up to 6 hours.  I have found great relief from it.
 
The trick is taking Carafate properly.  It needs to be taken two hours before or after taking medication.  It also needs to be at least an hour before meals and two hours after.  (It coats things so well, it can keep the medication from being properly absorbed.)  You learn to space it out properly, but it's tricky if you have to take meds throughout the day.  Otherwise it's pretty easy to figure out.
 
I'd give it a try...I always keep it on hand because I've got a very sensitive, reactive stomach.
Good luck,
Denise
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”
Eckhart Tolle
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